Individual
KELLY R TRIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.S.W.
Contact information
Practice address
413 SPRING ST, CHATTANOOGA, TN 37405-3848
(423) 756-2740
Mailing address
2044 ROCKY MOUND RD, LIVINGSTON, TN 38570-8511
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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